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NPI Code Detail

MEDICARE: DEANA KATELYN NEAL FNP-C

MEDICARE: DEANA KATELYN NEAL FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner907130MS
2363LF0000XFamily Nurse Practitioner35041TN

General Provider Information

NPI Number : 1831868728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANA KATELYN NEAL FNP-C
Provider Business Mailing Address
First Line : 504 CLINTON CENTER DR STE 4300
Second Line :
City : CLINTON
State : MS
Zip : 39056-5610
Country : US
Telephone Number : 888-815-2005
Fax Number :
Provider Business Practice Location Address
First Line : 1397 BELK BLVD
Second Line :
City : OXFORD
State : MS
Zip : 38655-5301
Country : US
Telephone Number : 888-815-2005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 03/03/2026

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Directions to “ DEANA KATELYN NEAL FNP-C” Practice Location

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